Riley Hayes Goodall, MSW, LICSW in Chanhassen, MN - Medicare Social Worker Provider

Riley Hayes Goodall, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Chanhassen, Minnesota. His current practice location is 600 Market St Ste 220, Chanhassen, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 213-9280.

Riley Hayes Goodall is licensed to practice in Minnesota (license number 23749) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164123857.

Contact Information

	Riley Hayes Goodall, MSW, LICSW
	600 Market St Ste 220, Chanhassen, MN 55317-4588
	(651) 213-9280
	(651) 433-7122

Map and Direction

Healthcare Provider's Profile

Full Name	Riley Hayes Goodall
Gender	Male
Speciality	Social Worker - Clinical
Location	600 Market St Ste 220, Chanhassen, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164123857
Provider Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2668846163
Enrollment ID: I20230324000173

Medical Identifiers

Medical identifiers for Riley Hayes Goodall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164123857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23749 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Riley Hayes Goodall allows following entities to bill medicare on his behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Riley Hayes Goodall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Riley Hayes Goodall, MSW, LICSW 1485 Wintergreen Ct, Victoria, MN 55386-9586 Ph: (763) 614-6766	Riley Hayes Goodall, MSW, LICSW 600 Market St Ste 220, Chanhassen, MN 55317-4588 Ph: (651) 213-9280

Reviews and Comments

Social Worker in Chanhassen, MN

Julie Stender, MSW, LISCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W 78th St, Suite 220a, Chanhassen, MN 55317 Phone: 612-567-4654
Katie Anne Mark, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7975 Stone Creek Dr Ste 130, Chanhassen, MN 55317 Phone: 952-544-6806
Brook Nordness, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7945 Stone Creek Dr Ste 140, Chanhassen, MN 55317 Phone: 952-856-3932 Fax: 952-448-6047
Emily Claire Chandler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2025 Coulter Blvd Ste 7, Chanhassen, MN 55317 Phone: 952-213-6225
Laurie Anne Camilli, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7975 Stone Creek Dr Ste 130, Chanhassen, MN 55317 Phone: 952-544-6806
Kirsten Webb, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7945 Stone Creek Dr, Suite 140, Chanhassen, MN 55317 Phone: 507-990-2696

Riley Hayes Goodall, MSW, LICSW - Medicare Clinical Social Worker in Chanhassen, MN